Abstract: Embodiments of the invention relate to an ancillary surgical instrument including at least a first contact point to come into contact with a first reference point of an operating area; a second contact point intended to come into contact with a second reference point of the operating area; a contact area intended to come into contact with a third reference point of the operating area; a determination unit for determining an orientation reference of the ancillary instrument in a Galilean orientation reference; and a communication unit for communication the determined orientation reference.

Abstract: An infusion catheter system may deliver a therapeutic agent to a desired location in the body. The system may include an elongate catheter shaft having a proximal end region, a distal end region, a distal opening, and a lumen extending between the proximal end region and distal opening. The distal end region may include a coiled portion having a preformed coiled configuration including a plurality of helically wound rings. A plurality of apertures may be formed through a sidewall of the coiled portion. A guidewire may be configured to be slidably disposed within the lumen of the catheter shaft. The guidewire may include a proximal end region having a first cross-sectional dimension, an enlarged distal end region having a second cross sectional dimension greater than the first cross-sectional dimension, and an intermediate region disposed between the proximal end region and the distal end region.

Abstract: An ultrasonic catheter includes a body and an ultrasound transmission member disposed in the body. A head is coupled to the ultrasound transmission member, wherein a gap separates the head from a body distal end. A guidewire tube extends through the body and the head. A proximal end connector assembly includes a hub and an absorber member. The hub has a bore coupled to and in fluid communication with the body. The absorber member is disposed within the bore around the ultrasound transmission member. A sonic connector is disposed between the ultrasound transmission member and a separate generator.

Abstract: A surgical handpiece nosecone having an end overmold portion and/or an internal overmold portion. The end overmold portion is located at an end of the nosecone and compressed between the surgical handpiece housing and nosecone. The internal overmold portion is positioned radially about the nosecone on the inner surface to provide a fluid tight seal that prevents ingress of irrigation fluid into the housing.

Abstract: A connection tool for a tongue manipulation system comprising: a connector configured to be coupled to a tongue advancer tether (801); a connection tool body (1313) and separable removal cannula part (1315) configured to follow a tongue advancer tether line (801) in order to enable a removal sleeve (1335) located at least partially within the separable removal cannula part (1315) to contact the tongue advancer (305), the separable removal cannula part (1315) being configured to be separated from the connection tool body (1313) following the removal sleeve (1335) contacting the tongue advancer (305) and to expose a proximal end of the removal sleeve (1335).

Abstract: A surgical cutting instrument comprises an outer tubular member and an inner tubular member. The outer tubular member includes a proximal section, an intermediate section, a distal section, and a side wall. The side wall defines a central lumen extending from the proximal section to the distal section. The side wall also includes means for conducting fluid within a sidewall of the outer tubular member from the proximal section to the distal section and includes a distal opening positioned to direct fluid at the bur and a treatment site. The inner tubular member is rotatably received within the central lumen. A distal end of the inner tubular member forms a bur extending distally beyond, and exposed relative to, the distal section of the outer tubular member.

Abstract: A pump module with a casing having at least one pump piston is mounted in a reciprocatingly movable manner and may include a sealing element which, in pumping operation, abuts in a sealing manner against a cylinder. An embodiment of a pump module, which is easy to produce and can be disinfected or sterilized in a simple manner, includes a pump piston that can be fixated in a parking position in which the sealing element does not abut against the cylinder.

Abstract: A clamping arthroscopic resection tool is provided. The clamping arthroscopic resection tool includes a first jaw and a second jaw positionable on opposing sides of a tissue, a clamping structure which biases the first jaw and the second jaw against the tissue to clamp the tissue between the first jaw and the second jaw, an indicator mark disposed along one of the first jaw and the second jaw at an intermediate location, and a cutting member which is movable between the first jaw and the second jaw and between a non-cutting position and a cutting position to cut the tissue up to the indicator mark.

Abstract: In one aspect, the present disclosure relates to a device for obtaining biological tissue. In some embodiments, the device can include a first row of a plurality of hollow tubes; a second row of a plurality of hollow tubes, adjacent the first row of hollow tubes; a third row of a plurality of hollow tubes, adjacent the second row of hollow tubes, the first, second and third rows forming an array of hollow tubes; wherein each hollow tube can include at least one point at the distal end of the hollow tube, the plurality of rows forming a two dimensional array of hollow tubes; wherein an inner diameter of the at least one tube is less than about 1 mm, the distal end of each of the hollow tubes is configured to be inserted into a biological tissue donor site to remove a portion of tissue therefrom when each of the hollow tubes is withdrawn from the donor site.

Abstract: A treatment method and medical device are disclosed for cutting a substance inside a body lumen. The medical device for cutting substances inside a body lumen, the medical device including a rotatable tubular drive shaft; a treatment member connected to a distal side of the drive shaft; an elongated tube extending through the drive shaft; and a bearing member connecting a distal side of the treatment member and the elongated tube.

Abstract: A uterine manipulator device includes: an elongated cannulated tube comprising a proximal end and a distal end; a cervical cup having a top proximal portion of a first diameter and a base distal portion of a second smaller diameter, wherein: the base distal portion includes a hole formed therein having a perimeter including a distal end and a proximal end, and including a longitudinal axis positioned therethrough; one of the proximal end of the perimeter and the distal end of the perimeter is angled away from the longitudinal axis and the other of the proximal end of the perimeter and the distal end of the perimeter is in line with the longitudinal axis; and the elongated cannulated tube is positioned through the hole in the cervical cup.

Abstract: Everting balloon systems and methods for using the same are disclosed herein. The systems can be configured to access and dilate body lumen and cavities. For example, the systems can be used to dilate the cervix and access the uterine cavity. The systems can also be used to occlude the cervix. The systems can also be used to occlude the urethra.

Abstract: Example embodiments of the systems and methods of callus removal disclosed herein comprise a callus catching function to catch the calluses removed by the blade. A clamp on the back side of the blade comprises a hollowed out section into which the blade deposits the removed calluses. The hollowed area may be formed, for example, by a clamp for holding the blade in a handle. In an example embodiment, the clamp may also comprise a pumice sponge for further use in pedicure processes. The clamp may be removable to allow for removal of the collected calluses into a collection bin.

Abstract: An adjustable length strut includes two joints, a threaded rod extending between the joints, and a tube adapted to receive the threaded rod. An actuation mechanism with gear teeth extending radially outward of the strut axis is rotatably fixed to the threaded rod. A protrusion may be coupled to an end of the threaded rod by a rotatable collar, with the protrusion extending through a slot in the tube to mark the length of the strut. A modular attachment member may be adapted to be couple to the first joint and include a worm gear adapted to engage gear teeth of the actuation mechanism. The modular attachment member may include a radiofrequency identity tag mechanism adapted to be read by a tag reader of a tool, the tool adapted to couple to the attachment member to rotate the worm gear to increase or decrease the effective length of the strut.

Abstract: Provided herein is a clip type cranial flap closing and anchoring device having a single structure including first part in contact with top surface of the flap and second part in contact with bottom surface of said flap maintaining a gap therebetween to accommodate the flap, wherein the first part is fixedly secured to third part for fastening the device to the skull.

Abstract: Open implant closure structures include a helically wound guide and advancement flange form having splay control surfaces. Multi-start closures and closures with inner set screws have splay control contours for interlocking with cooperating flange forms of bone anchor receivers. Flange form heights, thicknesses and other geometry, such as splay control ramp angle may be varied.

Abstract: A screw anchor assembly used in pedicle screw fixation is provided. The screw anchor assembly includes a screw having screw threads defined on a circumferential surface, and a screw anchor having a first end and a second end, an accommodating part defined by anchor screw threads on an inner surface of the screw anchor and having one end to receive the screw, and a locking step extended in a circumferential direction from the first end of the screw anchor. The accommodating part flexibly extends when the screw is screw-coupled to the screw anchor.

Abstract: A polyaxial bone screw assembly includes a threaded shank body having an upper portion, a receiver member or head, a retaining and articulating structure, and a pressure insert disposed between the shank upper portion and a rod. The receiver has a U-shaped cradle defining a channel for receiving a spinal fixation rod and a receiver cavity. The retaining and articulating structure attaches to the shank and rotates with the shank in the cavity during positioning. The pressure insert presses upon the shank upper portion and not the retaining and articulating structure.

Abstract: A spinal joint distraction system for treating a facet joint including articular surfaces having a contour is disclosed and may include a delivery device including a generally tubular structure adapted to engage a facet joint, an implant adapted to be delivered through the delivery device and into the facet joint, the implant comprising two members arranged in opposed position, and an implant distractor comprising a generally elongate member adapted to advance between the two members of the implant causing separation of the members and distraction of the facet joint, wherein the implant is adapted to conform to the shape of the implant distractor and/or the articular surfaces of the facet upon being delivered to the facet joint. Several embodiments of a system, several embodiments of an implant, and several methods are disclosed including a method for interbody fusion.

Abstract: The present invention provides a tensioning ancillary instrument (5) for tensioning an elongate element to fasten an implant on a portion of bone, by surrounding said portion of bone at least in part, said instrument (5) comprising a body (6) having proximal and distal ends (6a, 6b), the distal end (6a) being provided with a device for bearing against the implant, said body (6) extending along a longitudinal axis (L). The instrument (5) further comprising a carriage (7) that is movable along the longitudinal axis (L), and a fastener device (8) for fastening to the elongate element (2).

Abstract: Bone anchor assemblies and methods are provided having a multi-component bone anchor that is configured to allow the shank of the bone anchor to be bottom loaded into a receiver member. In one embodiment, a bone anchor assembly is provided having a shank with a distal threaded portion and a proximal head portion, a receiver member having an aperture formed in a distal end thereof through which the head portion of the shank can be received, the receiver member defining a polyaxial seat, a non-expandable outer ring configured to be polyaxially disposed within the polyaxial seat of the receiver member and defining a central opening through which the head portion of the shank can be received, and an expandable inner ring having an inner surface configured to mate with the head portion of the shank and an outer surface configured to mate with an inner surface of the outer ring to thereby lock the outer ring in a fixed position relative to the shank.

Abstract: The invention relates to a bone screw and a method for locking a bone screw into a bore. The bore can be provided in e.g. an implant, a plate, a nail or the like. The bone screw comprises a head portion with a first axis, a proximal shaft portion with a second axis, and a distal shaft portion with a third axis. The first axis is a center axis extending in a longitudinal direction of the head portion, the second axis is a center axis extending in a longitudinal direction of the proximal shaft portion, and the third axis is a center axis extending in a longitudinal direction of the distal shaft portion. The first and third axes are aligned to each other. The second axis is displaced relative to the first and third axes.

Abstract: A method of treating a spinal column shape deformation includes fixing at least two fixation screw assemblies to respective vertebrae, sliding a rod between the arm extensions on each of the fixation screw assemblies, swinging the channels of the screw assemblies relative to the fixation screws so that the channels become less inclined to the axes of the fixation screws, and so that the rod is located generally posteriorly of the spinal column, locking the channel against swinging relative to the screw, rotating the rod about its axis relative to at least one of the channels, and locking the rod against movement relative to the channel.

Abstract: A cryoablation method, system, and device that allows for real-time and accurate assessment and monitoring of PV occlusion and lesion formation without the need for expensive imaging systems and without patient exposure to radiation. The system includes a cryoballoon catheter with a cryoballoon, a distal electrode, a proximal electrode, and a temperature sensor. Impedance measurements recorded by the electrodes may be used to predict ice formation, quality of pulmonary vein occlusion, and lesion formation.

Abstract: A cryoablation catheter assembly includes a catheter that defines at least one coolant outtake region and receives a rotatable guide tube and a coolant transfer tube. The coolant transfer tube receives and transfers coolant from a coolant source to a distal end of the coolant transfer tube. An expansion element is coupled to a distal portion of the catheter and defines an inner expansion-element space. The inner expansion-element space is in fluid communication with the at least one coolant outtake region and the distal end of the coolant transfer tube. A distal end of the expansion element couples to the guide tube. A rotation system is coupleable to, or coupled to, a proximal end of the guide tube and rotates the distal end of the expansion element relative to the proximal end of the expansion element by rotating the guide tube relative to the catheter.

Abstract: The invention relates to a method for cosmetically treating dark spots on the skin, wherein said method is intended for eliminating at least one of said dark spots located in a region of the hand, the face, the limbs or the chest area of a person suffering from such skin hyperpigmentation, characterised in that said method includes a step of applying a spray of cryogenic fluid to said region, which brings the skin temperature to a temperature of between ?4° C. and ?15° C. for a consecutive application period of from 2 to 10 seconds, in order to selectively act on the melanocytes, and to a device for carrying out said method.

Abstract: A method and system of providing therapy to a patient's uterus. The method can include the steps of inserting a uterine ablation device into the uterus; expanding a distal anchor; inflating a proximal balloon to pull the distal anchor proximally and seat the distal anchor against the internal os of the uterus; inflating a central balloon to seal the cervix; delivering vapor from the uterine ablation device into the uterus; and condensing the vapor on tissue within the uterus. The can include a cervical collar adapted to place a distal portion of the device within the uterus when the cervical collar contacts an external os of the cervix.

Abstract: A system for generating cold plasma is presented, suitable for use in in-vivo treatment of biological tissue. The system comprising: a control unit connectable to an elongated member at a first proximal end of the elongated member. The elongated member comprises a plasma generating unit at a second distal end thereof and gas and electricity transmission channels extending from said first proximal end towards said plasma generating unit. The control unit comprises a gas supply unit configured to provide predetermined flow rate of selected gas composition through said gas transmission channel and a power supply unit configured to generate selected sequence of high-frequency electrical pulses, typically in mega Hertz range, directed through said electricity transmission channel, thereby providing power and gas of said selected composition to the plasma generating unit for generating cold plasma.

Abstract: Multi-electrode ablation systems, methods, and controllers are described. In one example, a method of beginning an ablation procedure using a multi-electrode ablation system is described. The method includes selectively coupling the output of a power supply to a first electrode of a plurality of electrodes to increase a temperature at the first electrode to a first temperature set-point and limit a rate of increase of the temperature at the first electrode to a predetermined first rate.

Abstract: An electrosurgical generator includes: a power supply configured to output a direct current; a current source coupled to the power supply and configured to output source current based on the direct current, and a power converter coupled to the current source, the power converter including at least one power switching element operated at a switching waveform. The power converter is configured to generate a converted waveform based on the source current. The electrosurgical generator also includes a controller coupled to the power converter and configured to modulate the switching waveform and a snubber circuit coupled to the current source and the power converter. The snubber circuit is configured to return the voltage at the at least one power switching element to zero after the power converter generates at least a portion of the converted waveform.

Abstract: A forceps includes a first jaw member, a second jaw member, a drive rod assembly and a moveable handle attached to a fixed handle. The first jaw member and the second jaw member are in opposing relation relative to one another, and at least one of the first jaw member and the second jaw member is relatively movable from a first open position to a second clamping position when the first jaw member and the second jaw member cooperate to grasp tissue therebetween. Moving the moveable handle relative to the fixed handle moves the drive rod assembly for imparting movement of at least one of the first jaw member and the second jaw member from the first position and the second position. The moveable handle has an actuator with a lost motion connection between the first and second jaw members and the actuator.

Abstract: Tissue treatment systems include an actuator handle assembly coupled with a clamp assembly having a first jaw mechanism and a second jaw mechanism. A first jaw mechanism includes a first flexible boot, a first flexible ablation member coupled with the first flexible boot, and a first rotatable jawbone disposed within the first flexible boot. A second jaw mechanism comprises a second flexible boot, a second flexible ablation member coupled with the second flexible boot, and a second rotatable jawbone disposed within the second flexible boot.

Abstract: An end effector assembly of a forceps includes a first jaw member and a second jaw member. The first jaw member and the second jaw member are selectively positionable relative to one another. At least one of the jaw members includes an electrically conductive tissue engaging surface configured to connect to an electrosurgical energy source, and at least one of the jaw members includes two blade channels defined therein and extending therealong and a feed in member selectively positioned between the two blade channels. The end effector further includes a cutting blade that is translatable such that selective positioning of the feed in member enables the cutting blade to selectively enter into at least one of the two blade channels.

Abstract: A system for the manufacture of an end effector assembly which is configured for use with an electrosurgical instrument configured for performing an electrosurgical procedure is provided. The system includes a photolithography module that is configured to etch one or more pockets on a seal surface of the seal plate. A vacuum module is configured to raise, transfer and lower a spacer from a location remote from the pocket(s) on the seal plate to the pocket on the seal plate(s). An adhesive dispensing module is configured to dispense an adhesive into the pocket on the seal plate. An optical module is configured to monitor a volume of the adhesive dispensed within the pocket and monitor placement of the spacer within the pocket.

Abstract: An apparatus comprises an end effector, a shaft assembly, and an interface assembly. The end effector is operable to manipulate tissue, the shaft assembly is in communication with the end effector and a portion of the shaft assembly extends proximally from the end effector. The interface assembly is in communication with the shaft assembly. The interface assembly comprises a housing portion, a shaft cartridge, and a base portion. The housing portion can engage the shaft cartridge. The shaft cartridge is able to rotate and articulate the end effector, and the shaft assembly extends from the shaft cartridge. The base portion and the housing portion are able to enclose the shaft cartridge.

Abstract: Devices and systems for the selective positioning of an intravascular neuromodulation device are disclosed herein. Such systems can include, for example, an elongated shaft and a therapeutic assembly carried by a distal portion of the elongated shaft. The therapeutic assembly is configured for delivery within a blood vessel. The therapeutic assembly can include a pre-formed shape and can be transformable between a substantially straight delivery configuration; and a treatment configuration having the pre-formed helical shape to position the therapeutic assembly in stable contact with a wall of the body vessel. The therapeutic assembly can also include a mechanical decoupler operably connected to the therapeutic assembly that is configured to absorb at least a portion of a force exerted on the therapeutic assembly by the shaft so that the therapeutic assembly maintains a generally stationary position relative to the target site.

Abstract: Disclosed are a radio-frequency ablation catheter having a spiral structure and device thereof. The radio-frequency ablation catheter has an elongated catheter body. A spiral electrode support is arranged at the front end of the catheter body. Multiple electrodes are arranged on the electrode support. A control handle is arranged at the rear end of the catheter body. Wall-attachment adjusting wires having various structures can be arranged in the radio-frequency ablation catheter, so that the radio-frequency ablation catheter having a spiral structure can be adapted to target vessels of different diameters, and so that the electrodes on the electrode support have a good wall-attachment state.

Abstract: It is an object of the present invention to provide a balloon-type ablation catheter that can measure the electric potential around the entire circumference of the pulmonary vein at a position near the left atrium with electrodes attached to a catheter distal end part of an electrode catheter inserted in a shaft in a state where a balloon is pressed against the area around the ostium of the pulmonary vein. The balloon-type ablation catheter of the present invention includes a catheter shaft (10) having a multi-lumen structure in which a plurality of lumens (11 to 17) are formed that include a liquid feeding lumen (13), (16) and an electrode catheter insertion lumen (12), a distal end tip (30) attached to the distal end of the catheter shaft (10), a balloon (50) attached to the distal end part of the catheter shaft (10), and a high-frequency current application electrode (70) provided in the balloon (50).

Abstract: A method of optimizing the irradiation of a target with laser radiation includes selecting and mounting on a laser radiation delivery device either a waveguide or optical fiber type to be used; also, selecting at least the following parameters: selecting the total energy of the at least one train of pulses to be delivered to the target, and selecting the distance from the distal delivery end to the target; then, initiating irradiation of the target for the at least one train of pulses by generating a first laser pulse with sufficient energy (Ei) to form a vapor bubble in a liquid medium; allowing the vapor bubble formed to expand an amount sufficient to displace a substantial portion of the liquid medium from the space between the distal delivery end and the target; and, thereafter, after the selected time delay (Td) sufficient for the formed vapor bubble to reach its optimum extent, generating a second laser pulse (Ep), the second laser pulse being delivered to the target through the formed vapor bubble.

Abstract: The present invention relates generally to surgical lasers and more specifically to a laser beam control and delivery system that accurately and efficiently directs a laser beam into an optical fiber. The laser beam control and delivery system also provides additional functions, including a connection for a fiber tip temperature control system and a tissue temperature sensing system. The present invention also relates to a surgical laser system that has a high efficiency thermoelectric cooling system.

Abstract: Systems and methods for creating a treatment plan for cosmetic procedures, for example, a hair transplantation procedure, are provided. The treatment plan allows user to provide input on a proposed hair element using a free-hand drawing in a two-dimensional plane, and for the proposed hair element to be generated and displayed on a three-dimensional model of a body surface. Various techniques and methods described in the application provide for improved planning of a natural looking hair.

Abstract: A catheter adapted to measure a contact force includes a proximal segment, a distal segment, a spring segment extending from the proximal segment to the distal segment, and at least one inductive sensor. The at least one inductive sensor includes a first plate of high magnetic permeability material disposed on the proximal segment, a second plate of high magnetic permeability material disposed on the distal segment opposite the first plate, at least one first coil disposed adjacent to the first plate between the first plate and the second plate, and at least one second coil disposed adjacent to the second plate opposite the first coil between the first plate and the second plate. The second coil is electrically connected in series with the first coil. The first coil and the second coil are configured to output a signal indicative of displacement between the first coil and the second coil.

Abstract: Devices, Systems, and Methods for controlled movement of the robot system. The surgical robot system may include a robot having a robot base, a robot arm coupled to the robot base, and an end-effector coupled to the robot arm. The robot may include a plurality of omni-directional wheels affixed to the robot base allowing multiple-axis movement of the robot. The robot may further include sensors for detecting a desired movement of the robot base and a control system responsive to the plurality of sensors for controlling the multiple-axis movement of the robot by actuating two or more of the plurality of omni-directional wheels.

Abstract: A method for automatically predetermining an intended movement of a manipulator arrangement of a medical system having a medical instrument and a recording means for generating images, wherein the recording means and/or the instrument is guided by the manipulator arrangement. The method includes establishing an intended transformation between a reference stationary in relation to the recording means and a reference stationary in relation to the instrument; monitoring a deviation between the intended transformation and a current transformation between the reference stationary in relation to the recording means and the reference stationary in relation to the instrument; and determining a reset movement of the manipulator arrangement for returning the current transformation to the intended transformation when the deviation satisfies a predetermined condition.

Abstract: The various inventions relate to robotic surgical devices, consoles for operating such surgical devices, operating theaters in which the various devices can be used, insertion systems for inserting and using the surgical devices, and related methods.

Abstract: The various embodiments disclosed herein relate to improved robotic surgical systems, including robotic surgical devices having improved arm components and/or biometric sensors, contact detection systems for robotic surgical devices, gross positioning systems and devices for use in robotic surgical systems, and improved external controllers and consoles.

Abstract: Methods and systems are provided useful in various procedures, including hair harvesting and implantation, and further including computer-implemented and/or robotic hair transplantation. Methodologies are provided which enable a tool, such as a hair harvesting or a hair implantation tool, to proceed at least under a partial computer control in a selected direction of travel along a donor or recipient area of the patient, as well as changing direction of travel based on desired harvesting and/or implantation criteria.

Abstract: A system for charging an onboard battery of a medical device prior to use of the medical device may include a package configured to accommodate the medical device therein. A power source may be disposed relative to the package and may be capable of charging the onboard battery of the medical device prior to use of the medical device. The system may be capable of being subjected to a sterilization process with the power source disposed within the second cavity. In some instances, the power source is uncharged during sterilization. In some cases, the power source is encapsulated or otherwise sealed during sterilization.

Abstract: The present invention is directed to a TEE Probe container configured for receiving a TEE Probe, the container comprising a first container surface and an opposing second container surface. In some instances, the container further comprises one or more depressions positioned on the first surface configured for receiving the TEE probe. The TEE probe container further comprises a planar lid configured to removably enclose the first container surface of the container.

Abstract: According to some embodiments, systems for facilitating consistent radiometric tissue contact detection independent of orientation comprise a medical instrument having an antenna positioned at a distal end, an energy delivery element positioned at a distal end of the medical instrument, a radiometer, an impedance transformation network positioned between the antenna and the radiometer, and a processor configured to receive an input signal from the radiometer and provide an output indicative of an amount of tissue contact based upon the input signal. The impedance transformation network may be tuned to provide a substantially uniform radiometric response independent of an orientation of the antenna with respect to the tissue as the antenna is brought into contact with the tissue of a subject.